JON C OLDER (DO) – Internal Medicine Physician, NPI 1073582128

JON C OLDER (DO) is a healthcare provider. based in Houlton, Maine. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. DO1652 (ME). The NPI Number for JON C OLDER (DO) is 1073582128

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JON C OLDER (DO)
NPI
1073582128
Phone
(207) 532-2900
Address
20 HARTFORD ST
Enumeration Date
14 March 2006
Last Update Date
4 May 2017

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
2075322900
Graduation Year
1996 (30 years ago)
PAC ID
0941232573
Group Practice PAC ID
0042127946
Professional Enrollment ID
I20050906000055
Address ID
ME047301891HO20XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

916 INTERNAL MEDICINE in ME

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Provider Addresses for JON C OLDER (DO)

  • Houlton Regional Hospital, 20, Hartford Street, Houlton, Aroostook County, Maine, 04730, United States

    HOULTON, ME 047301891

    Phone: (207) 532-2900

    Fax: (207) 532-5974

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050906000055IInternal MedicineMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes20392$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6839$0
99239Hospital discharge day management, more than 30 minutes5754$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3332$0
99238Hospital discharge day management, 30 minutes or less1313$0
View full utilization report →

Insurance plans in this area (ZIP 04730)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042127946View full group profile
NameSpecialtyState
Pain Management, Physical Medicine And Rehabilitation, Emergency MedicineME
Nurse PractitionerME
Diagnostic RadiologyMD
Nurse PractitionerME
Interventional Radiology, Nuclear Medicine, Diagnostic RadiologyKS
Diagnostic RadiologyNH
Diagnostic RadiologyMN
-ME
O B S T E T R I C S/ G Y N E C O L O G YME
Nurse PractitionerME

Reviews

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Frequently asked questions

How do I look up JON C OLDER (DO) by NPI?
Use NPI 1073582128 when you need to reference JON C OLDER (DO) in forms, claims, or directories.
Does this profile mean JON C OLDER (DO) is currently active?
Yes — JON C OLDER (DO) appears active in the national provider directory.
Can you summarize JON C OLDER (DO)'s specialty in plain language?
Clinically, the directory lists JON C OLDER (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JON C OLDER (DO) practice in Maine?
You will see Houlton, Maine on file for JON C OLDER (DO) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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